HomeMy WebLinkAbout12-13588 CITY OF ZEPHYRHILLS �
5335-8TH STREET
` (si3)�so-oo20 13588
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13588 Address: 6712 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Ciass of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03800-0000
Improv. Cost:
Date Issued: 11/13/2012 Name: LUSARE INVESTMENT HOLDINGS LLC
Total Fees: 50.00►� Address: 28804 FALLING LEAVES WAY
Amount Paid: 50.00 WESLEY CHAPEL, FL 335435761
Date Paid: 11/06/2012 Phone: (813)679-1883
Work Desc: FPM-ANNUALFIRE ALARM & FIRE SPRINKLER FOR PEDIATRIC PARTNERS
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
oosts related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-002D City ot Zephyrhills Fire
Fax-8 t 3-780-002�
- • Permit Application
Date Recerved �� (�, - �� �� �� �
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Phone Contact for Permit
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aisaeo-oo2o City of Zephyrhills Fire FaX-813-780-0021
- Permit Application
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� Bio-Hazard Waste Storage-ANNUAL � Hazardous Materiai�er II or RQ Facility)ANNUAL
� Comm Exhaust Kitcher�Hood/Duct � Nood Installation
� Conirolled Bum � LP/Naturai Gas-Instaliation
� Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale
nEmergency Generator>30 kw � Places of AssembiyANNUAL
� Fire Protection Maintenance•ANNUAL � Recreational Burn
ry emi �n er ��-~'-"' �
Sprinkler � ❑ ❑ C � Sparfclers �� �
Fire Alarm � ❑� D � � Sprinkier System Instailat� ���
�food Cleaning ��-❑ ❑ 0--�' � Standpipes(Sprinkler ys) / �
Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar K ttle
� Fire AIBrrn Insialiation � Waste Tire Storage A NUAL
� Fire Pumps _�
Fire Works
� Flammable Application-ANNUAI Valuation of Project
� Fuel Tanks
❑ Other: �—
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Con.�acior Company To �� �t„t�"1'O n—�
sgnature Registered Y/N Fee Current Y/N
Address 3531 l�+e ,�+an¢. Rati. �icense# E.FCl00 �14t
cLCCTRICIAN� � Company �—
S�gnature RegiStered Y/IV Fee Current Y I N
Address �! License#
NLUMBER � 1 Company �
S�gnature I Registered Y/N Fee Curcent Y/N
Address License#
MECHANICAL � COmpany
Signature Registered Y!N Fee Current Y/N
Address License�i
OTHER � Company � —�
9gnature Registered Y/N Fee Current Y/N
Address L�Cense#
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Duecuons
F�II out apphcation completely
Owner&Contractor si9n back��f apphcation,noWrized(Or,copy of signed conVact with owner)
if over 52500,a Notice of Commencement is reqwred(MechaniCal work over 55000)
Supply two(2)sets of draw�ng5 wfth applicable documentation
Allow 10-14 days for revlew after submittal date. Parcel#-obtained from Propsrty Tax NoUCe(http:qappraiser pascogov com)